<ul class="breadcrumb">
		<li>
			<a href="<?php echo base_url('/home'); ?>">Home</a> <span class="divider">/</span>
		</li>
		<li>
			Contact us
		</li>
		
	</ul>
<div class="span9">
	<form class="well" action="<?php echo base_url('/email/contactus'); ?>" method="post" id="contactfrm" >  
	<div class="row-fluid">
	  <label>Name</label>  
	  <input type="text" name="name" id="name" class="span3" value="<?php echo set_value('name'); ?>" placeholder="Type your name"/> 
	</div>
	<div class="row-fluid">
	  <label>Email</label>  
	  <input type="text" name="email" id="email" class="span3" value="<?php echo set_value('email'); ?>" placeholder="Type your email" /> 
	</div>
	<div class="row-fluid">
	  <label>Phone Number</label>  
	  <input type="text" name="phone_number" id="phone_number" value="<?php echo set_value('phone_number'); ?>" class="span3" placeholder="Type your email" /> 
	</div>
	<div class="row-fluid">
	<label><strong>Message :</strong></label>
		<textarea class="" name="message" id="message" id="textarea" rows="3" value="<?php echo set_value('message'); ?>"></textarea>
	</div>
	<div class="row-fluid">
		<input type="checkbox" name="terms" id="terms" checked> Terms & Condition  <span id="terms_error"></span>
	</div>

	<button type="submit" class="btn btn-primary">Submit</button>  
	<button type="submit" class="btn">Cancel</button>  
	</form> 
</div>
<div class="span9">
</div>